Shine Pediatric Dentistry and Orthodontics

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

SHINE PEDIATRIC DENTISTRY AND ORTHODONTICS

Doing business as

Shine Pediatric Dentistry

Practice address

3084 State Route 27 Ste 10
Kendall Park, NJ 08824-1657

Phone

(732) 422-1100

NPI assigned

Jan 3, 2019

Last updated

Jan 3, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sanjeev Satwah

Title

Owner

Phone

(732) 422-1100

Specialties & licenses 2

Addresses

Other names 1

• Shine Pediatric Dentistry Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1205309143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3084 STATE ROUTE 27 STE 10",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241657",
            "telephone_number": "732-422-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3084 STATE ROUTE 27 STE 10",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241657",
            "telephone_number": "732-422-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE PEDIATRIC DENTISTRY AND ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "SATWAH",
        "authorized_official_first_name": "SANJEEV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-422-1100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shine Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jatin Shah, MD
• Payal Shah, PHARMD.
• Ghazala Shaikh, PT
• Shira Sheldon, APN
• Ajfar Sherif, M.D.
• Avani Shridharani
• Nicholas Silletti
• Janet Lynn Silva, MPT
• Vivian Borres Sinjian, PT
• SMB Healtcare and Business Consulting Servicesllc

• Pediatric Dentistry in Kendall Park, NJ
• Providers in Kendall Park, NJ by specialty
• Pediatric Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.